The social cost of iron: brain iron in face-processing regions links lower face-perception performance to reduced social connectedness in aging.

Published: 21 October 2025| Version 1 | DOI: 10.17632/c7w625jf9n.1
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Description

Face perception is fundamental to social interaction yet declines in older individuals. The social implications and mechanisms of this decline remain unclear. Here, we tested whether face-perception performance of 35 healthy, older adults is related to social connectedness and assessed regional brain iron as a hypothetical underlying mechanism. Face and non-face perception was assessed with the Cambridge Face and Cambridge Car Memory Test. Social connectedness was indexed as a composite of the Duke Social Support Index, UCLA Loneliness Scale, and Lubben Social Network Scale. A discrimination task to localize face- and house- processing was completed with fMRI data acquisition, and quantitative susceptibility mapping to index brain iron load was collected. Iron load in face-processing regions—but not in control regions—was associated with poorer face, but not non-face, perception, and poorer face-perception was also associated with lower social connectedness. Mediation analyses supported a perceptual-social pathway in aging whereby regional brain iron relates to lower social connectedness via face perception.

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Behavioral Neuroscience, Demographics, Social Network

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